Jewish Community Survey - JewishWyoming.com

Dear Friends,

Chabad Jewish Center of Wyoming proudly serves our local community with loving kindness. This survey will give us a better idea of how we can serve you best. As you answer the following questions, please remember, we keep all replies confidential.

Rabbi Zalman & Raizy Mendelsohn

What do you most enjoy about Chabad Jewish Center of Wyoming?*

Adult Education/ Lecture Series Camp Gan Israel Community Holiday Celebrations Friday Night Dinners Our warm community atmosphere Pastoral Care Social Opportunities

What type of adult education classes interest you?*

Jewish History Mysticism Talmud Hebrew Reading

Do you have a child or grandchild away at college?*

Yes No

Let Chabad invite your college kids to enjoy Shabbat dinner, meet new friends, and renew Jewish values. Please share their information and we will do the rest.

How many children/grandchildren?*

Full Name #1*

First Name Last Name

E-mail #1

Phone Number #1

Area Code Phone Number

Full Name #2*

First Name Last Name

E-mail #2

Phone Number #2

Area Code Phone Number

Full Name #3*

First Name Last Name

E-mail #3

Phone Number #3

Area Code Phone Number

Full Name #4*

First Name Last Name

E-mail #4

Phone Number #4

Area Code Phone Number

Full Name #5*

First Name Last Name

E-mail #5

Phone Number #5

Area Code Phone Number

Do you have a parent or elderly relative in this or any other community who would welcome a visit from a Rabbi?*

Yes No

Please list them below.

How many parents/elderly relatives?*

Full Name #1*

First Name Last Name

Full Name #2*

First Name Last Name

Full Name #3*

First Name Last Name

Full Name #4*

First Name Last Name

Full Name #5*

First Name Last Name

Do you have a mezuzah on the door of your home?*

No, please contact me about getting a mezuzah for my home. Yes, I have a mezuzah and I would like someone to come and check it. No thank you.

Many people like to leave a gift to charity in their will. Would you consider leaving Chabad Jewish Center of Wyoming in yours?*

I have already included Chabad Jewish Center of Wyoming in my will. I would definitely include Chabad Jewish Center of Wyoming in my will. I would probably include Chabad Jewish Center of Wyoming in my will. I would like to speak to someone about including Chabad Jewish Center of Wyoming in my will. I am not interested at this time.

Have you ever been to Israel? Would you be interested in joining Chabad on a community trip to Israel?*

I have not been to Israel and I'm interested in joining a community trip. I have already been to Israel and I'm interested in joining a community trip. I am not interested in a community trip to Israel at this time.

How has Chabad touched your life?

What would you suggest we do/don't do to enhance the success of Chabad Jewish Center of Wyoming?

Full Name*

First Name Last Name

E-mail*

Phone Number*

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status*

Married Single Divorced Looking for a Shidduch!

Age of Children*

0-12 13-17 18-30 30-60 No children